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NPI Code Detail

MEDICARE: DENVER MID-TOWN SURGERY CENTER LTD

MEDICARE: DENVER MID-TOWN SURGERY CENTER LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center0230CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710940218
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENVER MID-TOWN SURGERY CENTER LTD
Provider Business Mailing Address
First Line : 1919 E 18TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80206-1107
Country : US
Telephone Number : 303-322-3993
Fax Number : 303-322-7329
Provider Business Practice Location Address
First Line : 1919 E 18TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80206-1107
Country : US
Telephone Number : 303-322-3993
Fax Number : 303-322-7329
Authorized Official
Title or Position : VP/CFO
Name : DAVID MCKNIGHT
Credential :
Telephone Number : 972-789-2816
Provider Enumeration Date : 04/07/2006
Last Update Date : 06/02/2026

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